Kevin Thomas Melander Crimmins, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6327 Issued in MN

Practice address

15678 Pilot Knob Rd Ste 120
Apple Valley, MN 55124-7211

Phone

(651) 456-8744

Fax

(320) 295-7398

NPI assigned

Feb 13, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1194264929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15678 PILOT KNOB RD STE 120",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247211",
            "telephone_number": "651-456-8744",
            "fax_number": "320-295-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15678 PILOT KNOB RD STE 120",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247211",
            "telephone_number": "651-456-8744",
            "fax_number": "320-295-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELANDER CRIMMINS",
        "first_name": "KEVIN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-13",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.